MRS. LISA RAE MILBRANDT (PA-C) – Physician Assistant, NPI 1043687627
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for MRS. LISA RAE MILBRANDT (PA-C)
1680 DIAGONAL RD
WORTHINGTON, MN 561871008
Phone: (507) 360-8825
Type: Mailing
911 E 20th St
Suite 303
Sioux Falls, SD 571051042
Phone: (507) 360-8825
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Dexcom, Inc. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171205000482 | I | Physician Assistant | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 54 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 13 | 13 | $0 |
Insurance plans in this area (ZIP 56187)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SD | |
| Family Practice | MN | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| - | SD | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | MN | |
| Orthopedic Surgery | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| Internal Medicine | MT |
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